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HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Records Management; 2011-06-28 (4)- CARLSBAD Records Management Page 1 of 2 RECORDS DESTRUCTION AUTHORIZATION DEPARTMENT REQUESTING DESTRUCTION: RECORDS MANAGEMENT Person(s) Completing Form: SONYA FINLEY APPROVALS FOR DESTRUCTION i/v/^Department Head DP x- Date Records Manager Date \~ City Attorney Date We certify that the records listed below have been retained for the scheduled retention period, required audits have been completed, and no pending or ongoing litigation or investigation involving these records is known to exist. BOX NO. &w>K V v/ / J / v/ s/ y \. \, V RECORDS DESCRIPTION Boards & Commissions Applications PUBLIC RECORDS REQUESTS PUBLIC RECORDS REQUESTS AFFIDAVITS OF PUBLICATION AFFIDAVITS OF PUBLICATION SUBPOENAS SUBPOENAS 'PUBLIC COMMENT STATEMENTS OF ECONOMIC INTEREST- PLANNING CONMISSION STATEMENTS OF ECONOMIC INTEREST- BOARDS & COMMISSIONS STATEMENTS OF ECONOMIC INTEREST- EMPLOYEES STATEMENTS OF ECONOMIC INTEREST- CONSULTANTS DATED 2008 JAN-JUN 08 JUL-DEC08 2006 2006 2004 2005 2005 2003 2003 2003 2003 RRS NO. 0300-45 0130-50 0130-50 0740-20 0740-20 0745-30 0745-30 0750-07 0735-41 0735-41 0735-41 0735-41 RRS PERIOD CL+2 CU+2 CU+2 CU+4 CU+4 CL+5 CL+5 CU+5 CU+7 CU+7 CU+7 CU+7 SMEADSOFT BARCODE (if applicable) K0207310 K0207304 K0207398 K0206878 K0206879 K0100507 K0205904 K0206166 K0203732 K0205640 K0100246 K0204613 APPROVED By City Attorney H=HOLD This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program Revised 12/23/2009 C 'Y OF CARLSBAD Records Management Page 2 of 2 Expired Insurance Certificates 1995-1998 0470-33 CU+2 N/A To be filled out once records have been destroyed. RECORD DESTRUCTION COMPLETED BY: -^KXt_£^(/ xJ^CT CERTIFICATE OF DESTRUCTION? 'CpYES Q] NO SMEADSOFT BARCODES DELETED BY: SONYA FINLEY DATE: 0/^/ff I I DATE: £. - I-^LO i (( This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program Revised 12/23/2009 WE RECYCLE SERVICE LOCATION: mm*.' BILLED TO: ••• Of Caffstoacf-Recorcte Mana^ WISBCamtooReaf **NO SUR-OIAF i CERTIFICATE REFERS TO INVOICE NO.: DATE: ye >011 This is to certify that Shred-it destroyed confidential information for the above mentioned company by TRUCK NO,TRUCK NO.:TOTAL TIME:HRS.:MIN. CUSTOMER SERVICE REP.:. CLIENT: PRINT CUSTOMER'S NAME: JMER'S This year, through Shred-it's recycling program, your firm has saved trees from destruction. CERTIFICATE OF DESTRUCTION THAN K YOU FOR YOUR BUSINESS. SECURING YOUR OFFICE Shred-it, AND THE ENVIRONMENT